CN113453765A - Protective breathing mask - Google Patents
Protective breathing mask Download PDFInfo
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- CN113453765A CN113453765A CN202080014582.2A CN202080014582A CN113453765A CN 113453765 A CN113453765 A CN 113453765A CN 202080014582 A CN202080014582 A CN 202080014582A CN 113453765 A CN113453765 A CN 113453765A
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- A—HUMAN NECESSITIES
- A61—MEDICAL OR VETERINARY SCIENCE; HYGIENE
- A61M—DEVICES FOR INTRODUCING MEDIA INTO, OR ONTO, THE BODY; DEVICES FOR TRANSDUCING BODY MEDIA OR FOR TAKING MEDIA FROM THE BODY; DEVICES FOR PRODUCING OR ENDING SLEEP OR STUPOR
- A61M16/00—Devices for influencing the respiratory system of patients by gas treatment, e.g. mouth-to-mouth respiration; Tracheal tubes
- A61M16/06—Respiratory or anaesthetic masks
- A61M16/0683—Holding devices therefor
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- A—HUMAN NECESSITIES
- A62—LIFE-SAVING; FIRE-FIGHTING
- A62B—DEVICES, APPARATUS OR METHODS FOR LIFE-SAVING
- A62B18/00—Breathing masks or helmets, e.g. affording protection against chemical agents or for use at high altitudes or incorporating a pump or compressor for reducing the inhalation effort
- A62B18/02—Masks
- A62B18/025—Halfmasks
-
- A—HUMAN NECESSITIES
- A61—MEDICAL OR VETERINARY SCIENCE; HYGIENE
- A61M—DEVICES FOR INTRODUCING MEDIA INTO, OR ONTO, THE BODY; DEVICES FOR TRANSDUCING BODY MEDIA OR FOR TAKING MEDIA FROM THE BODY; DEVICES FOR PRODUCING OR ENDING SLEEP OR STUPOR
- A61M16/00—Devices for influencing the respiratory system of patients by gas treatment, e.g. mouth-to-mouth respiration; Tracheal tubes
- A61M16/04—Tracheal tubes
- A61M16/0488—Mouthpieces; Means for guiding, securing or introducing the tubes
- A61M16/049—Mouthpieces
-
- A—HUMAN NECESSITIES
- A61—MEDICAL OR VETERINARY SCIENCE; HYGIENE
- A61M—DEVICES FOR INTRODUCING MEDIA INTO, OR ONTO, THE BODY; DEVICES FOR TRANSDUCING BODY MEDIA OR FOR TAKING MEDIA FROM THE BODY; DEVICES FOR PRODUCING OR ENDING SLEEP OR STUPOR
- A61M16/00—Devices for influencing the respiratory system of patients by gas treatment, e.g. mouth-to-mouth respiration; Tracheal tubes
- A61M16/06—Respiratory or anaesthetic masks
-
- A—HUMAN NECESSITIES
- A61—MEDICAL OR VETERINARY SCIENCE; HYGIENE
- A61M—DEVICES FOR INTRODUCING MEDIA INTO, OR ONTO, THE BODY; DEVICES FOR TRANSDUCING BODY MEDIA OR FOR TAKING MEDIA FROM THE BODY; DEVICES FOR PRODUCING OR ENDING SLEEP OR STUPOR
- A61M16/00—Devices for influencing the respiratory system of patients by gas treatment, e.g. mouth-to-mouth respiration; Tracheal tubes
- A61M16/06—Respiratory or anaesthetic masks
- A61M16/0605—Means for improving the adaptation of the mask to the patient
-
- A—HUMAN NECESSITIES
- A62—LIFE-SAVING; FIRE-FIGHTING
- A62B—DEVICES, APPARATUS OR METHODS FOR LIFE-SAVING
- A62B7/00—Respiratory apparatus
- A62B7/10—Respiratory apparatus with filter elements
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- A—HUMAN NECESSITIES
- A62—LIFE-SAVING; FIRE-FIGHTING
- A62B—DEVICES, APPARATUS OR METHODS FOR LIFE-SAVING
- A62B9/00—Component parts for respiratory or breathing apparatus
- A62B9/06—Mouthpieces; Nose-clips
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- A—HUMAN NECESSITIES
- A61—MEDICAL OR VETERINARY SCIENCE; HYGIENE
- A61M—DEVICES FOR INTRODUCING MEDIA INTO, OR ONTO, THE BODY; DEVICES FOR TRANSDUCING BODY MEDIA OR FOR TAKING MEDIA FROM THE BODY; DEVICES FOR PRODUCING OR ENDING SLEEP OR STUPOR
- A61M16/00—Devices for influencing the respiratory system of patients by gas treatment, e.g. mouth-to-mouth respiration; Tracheal tubes
- A61M16/06—Respiratory or anaesthetic masks
- A61M16/0666—Nasal cannulas or tubing
- A61M16/0672—Nasal cannula assemblies for oxygen therapy
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- A—HUMAN NECESSITIES
- A61—MEDICAL OR VETERINARY SCIENCE; HYGIENE
- A61M—DEVICES FOR INTRODUCING MEDIA INTO, OR ONTO, THE BODY; DEVICES FOR TRANSDUCING BODY MEDIA OR FOR TAKING MEDIA FROM THE BODY; DEVICES FOR PRODUCING OR ENDING SLEEP OR STUPOR
- A61M16/00—Devices for influencing the respiratory system of patients by gas treatment, e.g. mouth-to-mouth respiration; Tracheal tubes
- A61M16/10—Preparation of respiratory gases or vapours
- A61M16/105—Filters
- A61M16/1055—Filters bacterial
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- A—HUMAN NECESSITIES
- A61—MEDICAL OR VETERINARY SCIENCE; HYGIENE
- A61M—DEVICES FOR INTRODUCING MEDIA INTO, OR ONTO, THE BODY; DEVICES FOR TRANSDUCING BODY MEDIA OR FOR TAKING MEDIA FROM THE BODY; DEVICES FOR PRODUCING OR ENDING SLEEP OR STUPOR
- A61M16/00—Devices for influencing the respiratory system of patients by gas treatment, e.g. mouth-to-mouth respiration; Tracheal tubes
- A61M16/10—Preparation of respiratory gases or vapours
- A61M16/105—Filters
- A61M16/106—Filters in a path
- A61M16/107—Filters in a path in the inspiratory path
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- A—HUMAN NECESSITIES
- A61—MEDICAL OR VETERINARY SCIENCE; HYGIENE
- A61M—DEVICES FOR INTRODUCING MEDIA INTO, OR ONTO, THE BODY; DEVICES FOR TRANSDUCING BODY MEDIA OR FOR TAKING MEDIA FROM THE BODY; DEVICES FOR PRODUCING OR ENDING SLEEP OR STUPOR
- A61M16/00—Devices for influencing the respiratory system of patients by gas treatment, e.g. mouth-to-mouth respiration; Tracheal tubes
- A61M16/20—Valves specially adapted to medical respiratory devices
- A61M16/208—Non-controlled one-way valves, e.g. exhalation, check, pop-off non-rebreathing valves
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- A—HUMAN NECESSITIES
- A61—MEDICAL OR VETERINARY SCIENCE; HYGIENE
- A61M—DEVICES FOR INTRODUCING MEDIA INTO, OR ONTO, THE BODY; DEVICES FOR TRANSDUCING BODY MEDIA OR FOR TAKING MEDIA FROM THE BODY; DEVICES FOR PRODUCING OR ENDING SLEEP OR STUPOR
- A61M2205/00—General characteristics of the apparatus
- A61M2205/75—General characteristics of the apparatus with filters
- A61M2205/7509—General characteristics of the apparatus with filters for virus
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- A—HUMAN NECESSITIES
- A61—MEDICAL OR VETERINARY SCIENCE; HYGIENE
- A61M—DEVICES FOR INTRODUCING MEDIA INTO, OR ONTO, THE BODY; DEVICES FOR TRANSDUCING BODY MEDIA OR FOR TAKING MEDIA FROM THE BODY; DEVICES FOR PRODUCING OR ENDING SLEEP OR STUPOR
- A61M2205/00—General characteristics of the apparatus
- A61M2205/75—General characteristics of the apparatus with filters
- A61M2205/7518—General characteristics of the apparatus with filters bacterial
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- A—HUMAN NECESSITIES
- A61—MEDICAL OR VETERINARY SCIENCE; HYGIENE
- A61M—DEVICES FOR INTRODUCING MEDIA INTO, OR ONTO, THE BODY; DEVICES FOR TRANSDUCING BODY MEDIA OR FOR TAKING MEDIA FROM THE BODY; DEVICES FOR PRODUCING OR ENDING SLEEP OR STUPOR
- A61M2205/00—General characteristics of the apparatus
- A61M2205/75—General characteristics of the apparatus with filters
- A61M2205/7545—General characteristics of the apparatus with filters for solid matter, e.g. microaggregates
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- A—HUMAN NECESSITIES
- A61—MEDICAL OR VETERINARY SCIENCE; HYGIENE
- A61M—DEVICES FOR INTRODUCING MEDIA INTO, OR ONTO, THE BODY; DEVICES FOR TRANSDUCING BODY MEDIA OR FOR TAKING MEDIA FROM THE BODY; DEVICES FOR PRODUCING OR ENDING SLEEP OR STUPOR
- A61M2210/00—Anatomical parts of the body
- A61M2210/06—Head
- A61M2210/0618—Nose
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- A—HUMAN NECESSITIES
- A61—MEDICAL OR VETERINARY SCIENCE; HYGIENE
- A61M—DEVICES FOR INTRODUCING MEDIA INTO, OR ONTO, THE BODY; DEVICES FOR TRANSDUCING BODY MEDIA OR FOR TAKING MEDIA FROM THE BODY; DEVICES FOR PRODUCING OR ENDING SLEEP OR STUPOR
- A61M2210/00—Anatomical parts of the body
- A61M2210/06—Head
- A61M2210/0625—Mouth
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- Emergency Medicine (AREA)
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- Respiratory Apparatuses And Protective Means (AREA)
Abstract
A respiratory device configured to be worn on a face of a person is disclosed. The device includes a breathing manifold having an interior space with openings for connection to the nasal passages and mouth of a user, and openings for one or more gas exchange ports. The appendage holds the manifold in position relative to the face and provides pressure against the nose and mouth to provide a sealing interface between the interior volume of the device and each of the nose and mouth. According to a salient aspect, the accessory is configured to securely hold the breathing apparatus on the face of the person without the need for additional fasteners, such as headgear. The accessory guard also includes one or more attachment points for supporting other components of the breathing apparatus through which air may be exchanged, such as an intake filter and an exhaust valve.
Description
Cross Reference to Related Applications
This application claims the benefit of U.S. provisional application No. 62/805,371, entitled Novel Protective Respiratory Mask, to Salles et al, filed on 2019, month 2, and day 14, entitled U.S. patent and trademark office, which is hereby incorporated by reference in its entirety.
Technical Field
The present invention relates to breathing apparatus and, in particular, to a protective breathing mask configured to be received in the mouth of a user.
Background
Respirators and protective breathing masks (hereinafter "face masks" but having the same meaning as respirators, surgical face masks, safety breathing apparatus, etc.) are a critical type of personal protective equipment that needs to meet certain standards to ensure that they function as intended to ensure the safety of the user. As an example, in the United states, surgical masks may be rated and certified by the National Institute for Occupational Safety and Health (NIOSH) in terms of their chemical resistance and filtration capacity (e.g., a certification of "N95" indicates that a mask filters greater than 95% of non-oil particles of 0.3 microns or greater, including sources of infection; where N100 may filter 100% of particles of 0.3 microns or greater). Although the mask is certified, it still requires adjustment by the individual wearer and generally requires a fit test at the time of use to ensure proper sealing of the individual's face. The fit test is important to ensure a snug fit and to minimize the amount of leakage of the mask at the face seal, as this will compromise the mask's certification rating. For example, when an individual has facial hair, the mask cannot seal properly — therefore, if the individual needs to use the mask, it is recommended that all facial hair be removed. Moreover, to ensure proper fit and filtering, most, if not all, existing masks are designed rationally to ensure safety to its certification level at the expense of all other variables, including communication and comfort. For example, most surgical masks and respirators require a headgear strap or ear strap to hold the mask in place; these straps tend to slip over time, require readjustment, and become uncomfortable to wear on the ear or head. In addition, the mask captures moisture and heat from the exhaled air, which impinges on the skin surface of the face and adds discomfort, especially over extended periods of wear.
In short, current mask and respirator designs present a number of challenges:
1. sealing on the face: masks are very ineffective in preventing infection in healthy wearers for a variety of reasons, including incomplete sealing of the face. Human facial morphology varies greatly, limiting the more widespread fit, especially with facial hair. Furthermore, the seal on the face feels weak even when standing still, especially when making a grimacy, talking, or moving. The fit and seal of the mask is also easily disturbed by simple actions such as speaking, rubbing and scratching. These challenges require fit testing of the mask to ensure that the mask seals and functions properly-it would be beneficial to improve the quality comfort and strength of the seal, and avoid or reduce the need for fit testing.
2. Size and adaptation: masks must be of various sizes to cover variations in face and age. A separate mask is designed for the child. Furthermore, the fit between mask manufacturers is not standardized. The advantage of taking advantage of the reduced variation in oronasal characteristics enables one to cover a wider population with one size mask.
3. Non-reusable: most surgical profile covers are currently envisaged as disposable devices. It would be beneficial to develop a safe reusable safety mask with rapidly interchangeable filters.
4. Communication: some masks affect verbal communication. Furthermore, masks often reduce the communication of emotions and comorbidities from caregivers or healthcare providers in view of the large area of occupation of the mask on the face. Enabling verbal and non-verbal communication is beneficial in a variety of settings, including healthcare settings where comorbidities and interpersonal interactions are critical to well-being.
5. Comfort level: despite the general sacrifice of safety, masks are often uncomfortable even for short periods of time due to heat and moisture from the face and pressure from the bridge of the nose and ears/head caused by straps, glue and other adhesive mechanisms. Increasing short-term and long-term comfort while maintaining or improving safety is critical to improve compliance.
It is with respect to these considerations and others that the present disclosure has been made herein.
Disclosure of Invention
According to an aspect of the invention, a breathing apparatus is disclosed. The breathing apparatus includes a manifold. The manifold includes a body defining an interior chamber and a sealing nipple extending from the body. The sealing mouthpiece has an upper wall configured to be received in the oral anterior upper buccal vestibule (the space between the lips/cheeks and the gums/teeth) and a lower wall configured to be received in the oral lower anterior lower buccal vestibule. The upper and lower walls are configured to sealingly engage an inner surface of the mouth. The nipple further includes a central passageway between the upper and lower walls. The central passageway is generally aligned with the opening of the port and provides fluid communication between the oral cavity and the internal cavity of the manifold. Further, the body includes one or more ports through which gas may be exchanged from the internal chamber.
The respiratory device further includes a nasal base extending from the body. The nasal base is configured to rest against a nose of a person. Further, the nasal base is shaped to define one or more hollow channels that provide fluid communication between the nostrils of the person and nasal passages and the internal chamber of the manifold during use.
The respiratory device further includes a lower clip configured to be placed over a lower lip of a person, the lower lip clip. The lower lip clip has a first end arranged for placement within the lower anterior oral vestibule and a second end arranged to rest against the outer surface of the human face, i.e., the chin. The lower lip clip distributes the load of the device onto the chin, and is sized and shaped so as to limit interference with the lower lip muscles during use.
The respiratory device further includes an upper clip configured to be placed on an upper lip of a person. The upper lip clip has a first end arranged for placement within the upper anterior oral vestibule. The upper lip clip also has a second end that is positioned outside of the person's mouth and that is mounted on the nasal base. Further, the upper lip clip is sized and shaped to position the nasal base against an underside of a person's nose during use and to limit interference with upper lip muscles.
According to a further aspect, an apparatus for holding a respiratory device on a person's mouth is disclosed. The device includes a nose base configured to rest on an underside of a person's nose and an upper lip clip configured to rest on a person's upper lip. In particular, the upper lip clip comprises a first end arranged to be placed within the upper anterior oral vestibule and a second end provided outside the oral cavity during use. The nose mount is mounted to the second end, and the upper lip clip is sized and shaped to position the nose mount against an underside of a person's nose during use and to limit interference with a person's upper lip muscles.
The device further includes a lower lip clip configured to be placed on a lower lip of a person. In particular, the lower lip clip includes a first end arranged to be placed within the lower anterior oral vestibule and a second end arranged to bear against an outer surface of the person's chin and concentrate forces on the chin. The lower lip clip is sized and shaped to limit interference with the lower lip muscles during use.
Further, the apparatus includes an expansion bow extending between the lower lip clip and one or more of the upper lip clip and the nose mount. In particular, the expansion bow is configured to apply opposing forces between the lower lip clip and one or more of the upper lip clip and the nose seat. Further, the apparatus includes a mount for mounting the respiratory device to one or more of the expansion bow, the lower lip clip, the upper lip clip, and the nasal base.
These and other aspects, features and advantages will be understood from the accompanying description of certain embodiments of the invention, the drawings and the claims.
Drawings
Fig. 1A includes front and side views illustrating an exemplary breathing apparatus worn on a person's face according to one or more embodiments.
FIG. 1B is an exploded view of the device of FIG. 1A, shown in front left perspective.
Fig. 1C is a front view illustration of a human face, particularly the mouth and nose regions and including anatomical references.
FIG. 1D is a cut-away side view of the device of FIG. 1A as worn by a user, with the cross-sectional cut line labeled 1D in FIG. 1.
Fig. 1E is a simplified side view of the device of fig. 1 illustrating the internal volume of the manifold providing fluid communication with the nasal passages and oral cavity of the person.
FIG. 1F is a cut-away side view of the detached accessory assembly of the device of FIG. 1A shown being worn by a person.
FIG. 2A depicts a front left perspective view of a manifold according to one or more embodiments.
Fig. 2B depicts a rear view of the manifold of fig. 2A.
Fig. 2C shows a top view of the manifold of fig. 2A.
Fig. 2D depicts a bottom view of the manifold of fig. 2A.
Fig. 2E shows a cut-away view of the manifold from a front view, where the manifold is cut along line 2E shown in fig. 2C and where the nipple is shown in a neutral/rest position.
Fig. 2F shows a cut-away view of the manifold from a front perspective, with the manifold cut along line 2E shown in fig. 2C and with the nipple shown in a closed configuration.
Fig. 2G shows a cut-away view of the manifold from a front perspective, with the manifold cut along line 2E shown in fig. 2C and with the nipple shown in a fully open configuration.
FIG. 3A depicts a front left perspective view of a lower lip clip according to one or more embodiments.
Fig. 3B depicts a rear view of the lower lip clip of fig. 3A.
FIG. 4A depicts a front left perspective view of an upper lip clip according to one or more embodiments.
Fig. 4B depicts a side view of the upper lip clip of fig. 4A.
Fig. 4C depicts a perspective view of the upper lip clip of fig. 4A, shown in a top rear view.
Fig. 5A depicts a front left perspective view of a nasal base and an upper lip clip according to one or more embodiments.
Fig. 5B depicts a front view of the nasal base of fig. 5A.
Fig. 5C depicts a rear view of the nasal base of fig. 5A.
Fig. 5D depicts the nasal base of fig. 5A from a front top perspective.
Fig. 5E depicts an exploded view of the nasal base of fig. 5A and the upper lip clip of fig. 4A, shown from a rear left side perspective.
Fig. 6A depicts a front left perspective view of an expansion bow in accordance with one or more embodiments, wherein the expansion bow is shown in both a resting state (left) and a compressed or loaded state (right).
Fig. 6B depicts an assembled appendage, including the expansion bow of fig. 6A (in a loaded state), and the nose mount of fig. 5A, the upper lip clip of fig. 4A, and the lower lip clip of fig. 3A, shown from a front left side perspective.
FIG. 6C depicts the assembled appendage of FIG. 6B, shown in side view.
FIG. 6D depicts the assembled appendage of FIG. 6B, shown from a top left rear perspective view.
Fig. 7A is a front left perspective view of a nasal shield according to one or more embodiments.
Fig. 7B is a cut-away side view of the nasal shield of fig. 7A.
Fig. 7C is a perspective view of the shroud of fig. 7A.
FIG. 8 is an exploded view of an exemplary vent valve, shown in front left perspective.
FIG. 9A is a rear view of a filter according to one or more embodiments.
Fig. 9B is a front left perspective view of the filter of fig. 9A.
Detailed Description
By way of overview and introduction, a breathing apparatus is disclosed. The device is configured to be worn on the face of a user and may therefore be referred to as a "mask". The device includes a respiratory manifold having an interior space with an opening for connection to a nasal passage and mouth of a wearer. The manifold also includes openings for one or more gas exchange ports. The manifold is supported by the appendage. The function of the accessory is as follows: maintaining the manifold in position relative to the face, and providing pressure on the nose and mouth to provide a sealed interface between the manifold and each of the nose and mouth that prevents ambient air from entering/escaping through the seal to an appropriate degree and to enable a person wearing the mask to speak. The accessory guard also includes other components for supporting the breathing apparatus, including, for example, one or more attachment points for an intake filter and an exhaust valve through which air may be exchanged.
The appendage may comprise an assembly of one or more components. According to a salient aspect, the accessory is configured to hold the breathing apparatus securely to the face of the person without the need for additional fasteners, such as head/ear straps or adhesives. It will therefore be appreciated that the appendage may be a component of a breathing apparatus comprising a breathing manifold and an air delivery device such as described herein. Additionally or alternatively, the accessory may be considered a stand-alone device for holding any number of other breathing apparatus on a person's face.
According to a salient aspect, the manifold and the appendage provide a respiratory safety device that provides benefits over existing designs, particularly by: improve safety by creating a better seal on the face; facial hair is eliminated as a barrier to facial mask safety; elimination of a headband or other head restraint feature; maintaining verbal and non-verbal facial communication; reusable interfaces that can fit a larger percentage of the population without requiring size changes; reduce the heating problem and discomfort in long-term use. While the exemplary embodiments described herein are used as a personal air filtration system, it should be understood that the application is not so limited. The disclosed inventive concepts may be applied to a variety of types of respiratory safety masks, including surgical masks, chemical safety masks, masks for preventing epidemics, and the like. The disclosed inventive concepts may also be applied to other gas delivery systems, including positive and negative pressure systems.
For clarity, certain terms used to refer to the anatomy of the human body, particularly the lips, mouth, and oral cavity regions, are briefly defined below. Fig. 1C is a diagram illustrating a front view of a face and annotated with some anatomical references.
Lip: the structure around the aperture. In the central region, their upper edges correspond to the lower edges of the bottom of the nose. Laterally, their boundaries are along the alar groove, and the upper and lower lips join at the corners of the mouth. The lower limit of the lips in the central region is the mental sulcus.
Red lip (vermileon): the red part of the lip.
Mouth: the oral aperture of the natural mouth is opened. The opening is bounded by the upper and lower red lips. The cavity includes a socket arch with gums and teeth, hard and soft palate, and a tongue anchored at the bottom of the mouth. The mouth opens into the oropharynx, bounded by the tonsillar pillar.
Corner of mouth: where the sides of the red lips of the upper and lower lips join on each side of the lip.
Oral vestibule: sometimes referred to as a cleft lip-a slit-like space between the lips/cheeks and the gums/teeth.
Oral cavity: the upper boundary of this space is the hard and soft palate, the lateral surface is bounded by the alveolar process of the upper and lower jaws, and the lower boundary is the tongue.
Ridge: the U-shaped ridges of the upper and lower jaws on which the teeth are located.
Gingiva (gum): dense fibrous tissue covered by a mucous membrane covering the alveolar ridge where the tooth is located.
Frenulum labialis: soft tissue folds extending from the gums of the anterior alveolar ridge to the inner surface of the inner portion of the upper lip (upper labial ligament) or lower lip (lower labial ligament).
Tooth: hard dental structures located in the alveolar ridge and in the gingiva.
Nasal passage: nasal passages refer to air passages through the nasal passages of the nose.
Nostril (Naris, singular) -outside of the nasal passage.
Upper anterior buccal vestibule: the buccal cavity of the upper lip, particularly in relation to the portion behind the mouth.
Lower anterior buccal vestibule: the buccal cavity of the lower lip, particularly in relation to the portion behind the mouth.
Lip muscles: the muscle complex known as the orbicularis oris muscle.
Fig. 1A includes front and side views illustrating an exemplary respiratory device 10 worn on a human face 12 in accordance with one or more embodiments. For clarity, fig. 1A shows one side of the device 10, which is referred to as the left side when viewed from the wearer's perspective, and shows the left side of a person's face. Fig. 1B is an exploded view of the device 10, shown in front left perspective. FIG. 1D is a cut-away side view of the device of FIG. 1A as worn by a user, with the cross-sectional cut line identified as 1D in FIG. 1.
As shown in fig. 1B, the breathing apparatus 10 includes an upper lip clip 22, a nasal base 21, an expansion bow 23, a lower lip clip 24, a one-way valve 41, two filters 45, a breathing manifold 60, and a nasal shield 75. At least the nose mount 21 and the upper lip clip 22 define a structure referred to as an upper lip module (or assembly) 20. The attachment 15 includes at least an upper lip module 20, a lower lip clip 24, and an expansion bow 23. The upper lip assembly 20 may also include a nose shield 75. Fig. 1E is a simplified side view of the device of fig. 1 illustrating the internal volume of the manifold providing fluid communication with the nasal passages and oral cavity of the person. FIG. 1F is a cut-away side view of the detached accessory assembly of the device of FIG. 1A shown being worn by a person.
Turning briefly to fig. 1E, there is a cut-away side view showing the device 10 worn on the face 12 and illustrating the breathing device 10 relative to the internal volume of the person's nasal passages 11 and mouth 13. As shown, the respiratory device 10 has an interior space that is primarily defined by the manifold 60, although air passages may extend from the manifold through the nasal base 21 to the nasal passages. The manifold 60 has a body 66 defining a main plenum/interior volume 14 connecting the person's mouth 13 and the nasal passages 11. The manifold also includes a mouthpiece 62 configured to be received into a person's mouth, the mouthpiece being shaped to define a breathing tube having a central opening 271 that provides fluid communication between the oral cavity 13 and the internal volume 14 of the manifold. Extending radially outward from the central opening is a wall configured to sealingly engage an inner surface of the buccal cavity to form an air-tight mouthpiece around the mouth.
As further described herein, the body 66 of the manifold 60 includes one or more gas exchange ports through which gas may be inhaled and/or exhaled. For example, one or more one-way valves 41 may be connected to one or more ports in the manifold so that gas may be exhaled/exhausted from the chamber 14. Similarly, one or more air cleaning filters 45 (not shown here, but visible in fig. 1B) may be connected to respective inlet ports 269 in the manifold so that ambient air may be drawn into the chamber through the filters. While the exemplary configuration of the apparatus 10 includes two filters 45 mounted to the manifold, it should be understood that alternative air filtration or gas supply systems may be connected to the manifold, such as a compressed air tank. The flow of gas into and out of the manifold via the external openings/ports of the manifold and between the internal manifold volume 14 and each of the nasal passages 11 and oral cavity 13 is illustrated in fig. 1E with large dashed arrows.
The nose mount 21 is configured to press against the underside of the nose. It helps to provide a sealed fluid connection between the manifold and the nares and helps to maintain this connection during use. The nose mount 21 is shaped to sealingly mate with one or more upper airways (268 from manifold 60 that fit into 524 on the nose mount 21) of the manifold 60. It is also shaped to include one or more passages that align with the nostrils. Thus, fluid communication between the nasal passages and the interior volume 14 of the manifold is provided through the nasal base. The nasal base also includes physical locating features that maintain the nasal base in alignment with the nasal passages of the person during use. For example, the nasal base includes two elongated projections 526 arranged to extend generally upwardly from an upper surface thereof and into the nasal passages so as to resist movement of the nasal base relative to the underside of the nose.
Because the contours of the underside of the nose vary from person to person, the sealing engagement between the device 10 and the nasal passages may be enhanced by incorporating a nasal shield 75. In an exemplary arrangement, the nasal shield 75 extends upwardly from the perimeter of the nasal base 21 and is shaped to encompass at least a portion of the nose. The nasal shield 75 may also comprise a compressible material that abuts the skin of the nose and forms an air seal against the nose. As a further example, sealing against the nares may be provided using other sealing structures mounted to the nasal base and held against the nares, such as nasal pillows known in the art of CPAP masks.
As noted, the manifold 60 may be supported by an accessory 15 (shown separately in fig. 6B) that may include a nasal upper lip module (assembly 20 in fig. 6B, including a nasal base 21 and an upper lip clip 22), a lower lip clip 24, and an expansion bow 23. The appendage is configured to hold the manifold in position relative to the face. It also exerts forces on the nose and mouth to provide a sealing interface between the device 10 and each of the nose and mouth, through which ambient air is prevented from entering/escaping to an appropriate degree.
The upper lip clip 22 is a C-shaped structure configured to fit around the upper lip. The upper lip clip is preferably worn in the central region of the upper lip (in the transverse direction 6). When in place, it extends from one end between the upper lip and the gums or teeth (upper buccal cavity) to a second end providing a location near the outer surface of the upper lip toward the bottom of the nose. An upper lip clip 22 is placed around the upper lip near the open end and performs the function of positioning the nasal base against the underside of the nose and preferably pushing the rear end of the nasal base towards the intersection of the nose and upper lip. The upper lip clip may also be mounted to the nipple of the manifold and help provide a suitable air seal between the nipple and the inner surface of the mouth. The upper lip clip is configured to concentrate the force of the device 10 toward the bottom of the nose and preferably at a location away from the lip muscles in order to limit interference with free movement of the lip muscles.
Similarly, lower lip clip 24 is a C-shaped structure configured to fit over the lower lip. The lower lip clip is preferably worn at the central region of the lower lip in the transverse direction 6. When in place, it extends from one end between the lower lip and the gingiva (lower oral vestibule) to a second end, which preferably abuts the chin in the region at or near the geniogliocladus sulcus. The lower lip clip is configured to concentrate weight and other forces from the device 10 on the chin while limiting interference with free movement of the lip muscles. The upper lip clip may also be attached to the nipple of the manifold to help provide a suitable air seal between the nipple and the inner surface of the mouth.
The expansion bow 23 is configured to connect the upper and lower portions of the attachment piece. For example, it extends between the nose base 21 and the lower lip clip 24. The expansion bow is configured to exert opposing expansion forces in generally up and down directions 4 between these upper and lower portions of the appendage. This spreading force pushes the nose base into its preferred position against the underside of the nose and the lower lip clip into a position in which the outer end of the lower lip clip abuts the chin.
It should be understood that although one or more of the components of the apparatus 10 are described herein as being combined and/or joined to define a discrete structure of components, any number of the components may be combined into a single structure. For example, the nose mount may be integrally formed with the upper clip. As another example, the lower clip may be integrally formed with the manifold. Similarly, in some configurations, the upper clip may be integrally formed with the manifold. Further, such integrally formed structures may be formed of the same material, or may include multiple different materials connected.
Exemplary configurations of each of the foregoing components of the respiratory apparatus 10 are described herein in further more detail with continued reference to fig. 1A-1F.
Respiratory manifold
Exemplary configurations of a respiratory manifold 60 according to one or more embodiments are shown and described herein in connection with fig. 2A-2G.
Fig. 2A depicts a front left perspective view of the manifold. Fig. 2B depicts a rear view. Fig. 2C shows a top view. Fig. 2D depicts a bottom view. Fig. 2E shows a cut-away view of the manifold from a front view, with the manifold cut along line 2E shown in fig. 2C, showing the nipple in a resting position. Fig. 2F shows a cut-away view of the manifold from a front perspective, with the manifold cut along line 2E shown in fig. 2C, showing the nipple in a closed position. Fig. 2G shows a cut-away view of the manifold from a front view, with the manifold cut along line 2E shown in fig. 2C, showing the nipple in an open position.
In the exemplary arrangement, the breathing manifold 60 includes a body 66 and a nozzle portion 62. The body of the manifold, i.e. the portion which is supported in front of the user's face during use, comprises walls which define a hollow interior volume or "cavity" 14. The mouthpiece 62 extending from the body is configured to form a seal with the mouth of the user in the anterior oral vestibule and defines an air passage 271 between the mouth and the internal volume of the manifold. Thus, the mouthpiece includes a distal portion shaped to be received in the mouth of a user. The portion includes a wall extending outwardly from the central region and configured to sealingly engage an inner surface of a mouth of a user to form an air seal extending completely around an anterior portion of the vestibule of the oral cavity. The seal may be formed by the wall against one or more of the inner surfaces of the gingiva (gums) and the upper and lower lips, and the inner surface of the mouth in the region where the upper and lower lips join (mouth commissure).
The mouthpiece 62 also includes a "breathing tube" in which the walls of the mouthpiece define a hollow central passage 271 (as shown, for example, in fig. 2B). When worn by a user, a breathing tube extends from the manifold body 66 through the opening of the lips of the mouth. The central passage thus provides fluid communication between the oral cavity and the interior volume 14 of the manifold, allowing gas to be inhaled or exhaled through the mouthpiece. Although described as a tube, the breathing tube need not have a circular or tubular shape. For example, in the arrangement shown and described in the figures, the nozzle has an opening 217 that is substantially similar in shape to the nozzle orifice.
More specifically, the mouthpiece is sized, shaped and made of the following materials: the shape and size of the opening 271 is allowed to be manipulated by the user's lips such that it mimics the changing shape of the mouth opening, which shape changes as the user speaks, breathes, etc. For example, as shown in fig. 2B, the wall of the nozzle 62 is shaped such that as it extends from the manifold body 66 toward the free end within the mouth, the wall generally follows the contour of the mouth, providing a central opening 271 shaped like a mouth orifice. As mentioned, the nozzle is preferably made of a flexible material. This allows the opening to be opened and closed, and has a variable size and shape controlled by the movement of the user's labial muscles and jaw. This configuration of the mouthpiece promotes speech intelligibility.
A variety of stable, non-toxic, medical grade, flexible and/or resilient materials (e.g., silicon, nitrile, vinyl, urethane, etc.) of varying densities may be used throughout the manifold and bite and nipple structure, thereby enabling increased flexibility or increased stiffness/support where needed along the "breathing tube".
As shown in fig. 2A, the elements of the mouthpiece, particularly the portion arranged to be received within the mouth of a user, include an upper anterior oral vestibular seal 261. The seal 261 is a thin wall of the mouthpiece that is configured to be received within the upper anterior oral vestibule of the mouth and against the inner surfaces of the lips, cheeks, and gums. Seal 261 further includes an upper labial ligament recess 262, an upper labial clip anchor nose 263. Similarly, the lower anterior vestibular seal 264 is a wall arranged to be received in the lower anterior vestibule of the mouth and includes a lower labial ligament recess 265 and a lower labial clip anchoring tab 266.
The upper anterior vestibular seal 261 (or "upper wall") refers to the portion of the manifold that creates an air seal in the upper half of the mouth that resides in the upper anterior vestibular. The upper anterior vestibular seal 261 is provided by a thin wall that extends radially from the central opening of the nozzle generally in an upward direction. The upper buccal cavity seal 261 is shaped to include a notch 262 for the upper labial frenulum. It also includes an attachment means that allows it to be physically connected to the upper lip clip, which in this exemplary case includes two tabs 263 extending from the surface of the wall and which can be press-fit into a complementary shaped upper lip anchor notch 430, described further herein. Specifically, the upper labial ligament notch 262 is a notch formed in the distal end of the sealing wall 261 that allows space for the user's upper labial ligament. The upper lip clip anchoring nose 263 is a mechanical mounting mechanism configured to physically attach the upper wall of the nozzle to the upper lip clip 22. In this arrangement, the anchor nose includes two flexible form-fitting noses that press-fit into the upper lip anchor cut-out (430).
Similarly, the lower vestibular seal 264 (or "lower wall") refers to the wall of the manifold that is configured to reside in the lower anterior vestibular of the mouth and form an air seal in the lower half of the mouth. Its peripheral edge is shaped to provide a notch for the lower labial ligament in the central region of the wall. It also includes an attachment configured to physically attach the wall to the lower lip clip, in this case two tabs 266 that press fit into the complementarily shaped lower lip anchor cut 337. Specifically, lower labial ligament notch 265 refers to a notch formed in the lower wall that provides space for the user's lower labial ligament. The lower lip clip anchoring nose 266 is a mounting mechanism that provides a means of physical attachment to the lower lip clip 24. In this configuration, the anchor nose includes two flexible form-fitting noses that press-fit into the complementarily shaped lower lip anchor cut-out (337 in fig. 3A-3B).
The manifold oral orifice 271 also refers to the central air passage of the mouthpiece that is configured to extend between the oral cavity and the internal cavity 14 of the manifold.
As shown in fig. 2A and 2B and 2C, the elements of the manifold 60, and in particular the body 66, may include a manifold bellows 267, a manifold bellows nose channel 268, a manifold filter orifice 269, a manifold check valve orifice 270, and a manifold orifice 271 (i.e., a nozzle "airway") into the oral cavity.
As shown, the body of the manifold includes a manifold bellows 267 that is a feature of the manifold that is connected to the nasal base 21. More specifically, the manifold bellows 267 may be part of a manifold body configured to allow the manifold to compress and expand in the upward/downward direction 4 while maintaining an airtight seal from the manifold to the nasal base, with the top of the bellows terminating in a manifold bellows nasal passage 268. It will be appreciated that the bellows 267 can further allow the nasal base to move in the anterior/posterior direction 8 and the side-to-side direction 6 relative to the main portion of the manifold body.
Manifold bellows nasal passage 268 is a branched continuation of the airway defined by bellows 267 and is shaped to form a press-fit seal with nasal base 21 by insertion into nasal base airway 524.
Manifold one-way valve aperture 270 is an opening in the manifold configured to provide an air-tight sealed connection to one-way exhalation valve 41. Similarly, manifold filter aperture 269 is an opening in the manifold configured to provide an air-tight sealed connection with filter port 949 of filter 45.
Fig. 1E is a simplified side view of the interior volume of the respiratory device 10, excluding the lip clip and nasal shield, showing the upper channel of the manifold providing fluid communication with the nasal passages of a person. Also shown is a portion of the manifold 10 provided toward the rear end, namely a nipple 62, configured to be received into a mouth and including a central channel 271 configured to provide fluid communication between the mouth of a person and the interior volume. Also shown is the outer portion of the manifold including one or more openings in the manifold wall through which air may be inhaled and/or exhaled.
An aspect of the disclosed embodiments is the interaction of the nozzle/manifold with the accessory. The normal basic condition of the nozzle is a resting, slightly open position, as shown in fig. 2E. Once in the entry port, the shape is responsive to the positioning of the lip. If the user closes their mouth, the airway 271 will also close, as shown in FIG. 2F. The manifold responds to the position of the lip and completely closes the orifice 271. If the user opens the mouth, for example by extending the jaw or yawning, the structure of the attachment 15 is such that the opening of 271 reflects the movement of the mouth orifice, as shown in figure 2G.
Lower lip clip
An exemplary configuration of a lower lip clip 24 (or "lower clip") according to one or more embodiments of the present invention is shown and described herein in connection with fig. 3A-3B, 6B-6C. FIG. 3A depicts a front left perspective view of a lower lip clip according to one or more embodiments. Fig. 3B depicts a rear view of the lower lip clip of fig. 3A. A side view of the lower lip clip is also shown in fig. 6C.
In an exemplary arrangement, the lower lip clip 24 includes a chin rest 333, a ball socket gallery 334, a spherical filter key 335, a lower anterior buccal cavity anchor 336, a lower anterior buccal cavity anchor cut 337, a lower labial ligament profile 338, an upper arm 339, and a lower base 340.
As shown in fig. 3B, chin rest 333 is a structure provided at the bottom end of the lower lip clip, particularly the end that abuts the facial skin during use. Preferably, the chin rest is configured to rest on the chin, near the genioglossus, thereby concentrating weight and energy from the device onto the jaw. It will thus be appreciated that the chin rest may extend substantially in the transverse direction 6 and be substantially complementary to the profile of the chin and have a width suitable for comfortably distributing forces on the chin. For example, the width of the chin bar may be between 15 and 50mm, and more preferably between 25 and 50 mm.
Also in fig. 3B, the lower anterior buccal vestibular anchor 336 refers to the internal anchoring structure of the lower labial clip located near the bottom of the lower anterior buccal vestibule. The anchor 336 is provided at an inner end of the lower lip clip arranged to be located between the lower lip and the lower gum. It will thus be appreciated that the lower anterior buccal anchoring member, and in particular its distal end, may be shaped to generally complement the contour at the intersection of the lip and gum, and have a width suitable for comfortably distributing forces onto the body. For example, the width of the anchor may be about 10-30mm, more preferably 15-30 mm. Although anchors with larger or smaller widths may be used, increasing the width (e.g., encompassing the entire buccal cavity) may potentially reduce the ability to speak clearly, while decreasing the width may concentrate the force and potentially reduce comfort.
Ball and socket lane 334 is part of an attachment mechanism configured to connect an expansion device, such as expansion bow 23, to the lower lip clip. Preferably, the attachment allows for adjustment, for example to provide an adjustable device 10 that can accommodate a wider range of face sizes and adjustable fittings. In this exemplary configuration, it provides three (3) positions. The spherical filter key 335 is a protrusion from the lower lip clip that is arranged to key and lock into a complementary shaped recess 948 provided in the filter base, thereby facilitating mounting and retention of the filter to the apparatus 10.
The lower anterior buccal cavity vestibular anchor cut 337 is a cut-out formed in the lower lip clip that is shaped to mate with a mating tab provided on the lower manifold 266 to form a physical connection between the manifold and the lower lip clip.
The lower labial ligament profile 338 is a notch formed in the edge of the lower anterior buccal cavity anchor 336. The lower end of the anchor is contoured to accommodate the labial ligament and provide clearance for the human lower labial ligament. As a result, the lower lip anchor can be located deep within the folds of the anterior labial vestibule.
In the upper arm 339, the top serves as a base for the bottom of the breathing manifold, and the bottom of the arm frames the top of the mating contour of the filter base. The bottom of the mating contour of the filter base 946 is formed by the top of the lower clip base 340. When they meet centrally, the upper arm 339 is contoured to allow the shape of the manifold opening 271 to be in a resting form. The attachment of anchor 336 to the upper arm curves around the lip and down the distal edge of the clip arm, allowing the space between them for upper clip 22 to be located when the mouth is closed.
The lower surface 333 of the lower base 340 is the chin rest surface area. The upper surface of the lower base 340 can be configured to receive and support a portion of the filter base, i.e., the complementary shaped profile 951 of the filter body 946.
The material used to construct the lower lip clip is preferably a stable, non-toxic medical grade material that can maintain its molded shape but allows some flexibility, such as Acrylonitrile Butadiene Styrene (ABS), medical grade plastics, and the like.
Upper lip clip
An exemplary configuration of an upper lip clip (or "upper clip") according to one or more embodiments of the present invention is shown and described herein in connection with fig. 4A-4C. Fig. 4A depicts a front left perspective view of the upper lip clip 22 according to one or more embodiments. Fig. 4B depicts a side view of the upper lip clip of fig. 4A. Fig. 4C depicts a perspective view of the upper lip clip of fig. 4A, shown in a top rear view.
In an exemplary arrangement, the upper lip clip 22 includes: a dovetail 428, an upper anterior buccal cavity anchor 429, an upper anterior buccal cavity anchor cut 430, an upper labial ligament contour 431.
A dovetail 428 is provided at the outer end of the upper lip clip. Which is an attachment structure configured to attach to the dovetail channel 523 of the nose base 21. As shown, it is configured to slide through channel 523 and has a friction fit to allow adjustment of the lip clip relative to the nasal base according to the size of the individual user's face. Other fixed or adjustable attachment mechanisms may be used to attach the lip clip to the nasal base.
An upper anterior oral vestibular anchor 429 is provided at the inner end of the upper labial clip between the upper lip and the upper gum. Thus, it will be appreciated that the upper anterior oral vestibular anchor can be shaped to generally complement the contour of the intersection of the gums and lips, and have a width suitable for comfortably distributing forces onto the body. For example, the width of the anchor may be about 10 to 30mm wide, and more preferably 15 to 30. Although anchors with larger or smaller widths may be used, increasing the width (e.g., encompassing the entire buccal cavity) may potentially reduce the ability to speak clearly, while decreasing the width may concentrate the force and potentially reduce comfort.
The upper buccal cavity anchor notch 430 is a perforation that allows for secure attachment to the respiratory manifold lip and captures the manifold mating nose 263. Other configurations for attaching the upper lip clip to the manifold lip or "upper wall" are possible.
The upper labial ligament contour 431 is a notch formed in the rim of the upper anterior buccal cavity anchor 429. The contour is shaped to provide clearance for a person's upper labial frenulum. As a result, the upper lip anchor may be located deep within the folds of the anterior labial vestibule.
The material used to construct the upper lip clip is preferably a stable, non-toxic medical grade material that can maintain its molded shape but allows some flexibility, such as Acrylonitrile Butadiene Styrene (ABS), medical grade plastics, and the like.
Nose base:
Exemplary components of a nasal base according to one or more embodiments are described herein in connection with fig. 5A-5E. Fig. 5A depicts a front left perspective view of the nasal base 21 according to one or more embodiments. Fig. 5B depicts a front view of the nasal base of fig. 5A. Fig. 5C depicts a rear view of the nasal base of fig. 5A. Fig. 5D depicts the nasal base of fig. 5A from a front top perspective. Fig. 5E depicts an exploded view of the nasal base of fig. 5A and the upper lip clip of fig. 4A, shown from a rear left side perspective.
In one arrangement, the nasal mount 21 includes a ball socket 522, a dovetail channel 523, a nasal airway 524, a crown seal 525, and a nose horn 526. The nasal base may also include a nasal contour insert (not shown) similar to contour insert 779 shown in fig. 7C. A nose contour insert may be included on the top surface of the nasal base to ensure sealing of the nares and/or nose with the nasal base 21. In one possible embodiment, the insert will be made of an amorphous, non-toxic medical grade plastic, foam or gel. In another possible embodiment, the insert may be similar to a CPAP nasal pillow.
The socket 522 is a socket-shaped structure provided towards the anterior side of the nasal base and is configured to receive the spherical end of the expansion bow 522. Although the present arrangement implements a ball and socket connection, other suitable mechanical attachments that provide freedom of movement in one or more directions between the nose mount and the expansion bow may be used. Additionally or alternatively, other flexible materials may be used to connect the components and provide the necessary freedom of movement.
The dovetail channel 523 is a dovetail channel disposed on the rear side of the nose base. The channel 523 is configured to receive the second end of the upper lip clip dovetail 428, allowing sliding to accommodate differences in length measured from the base of the nasal septum to the lower lip.
The nasal airways 524 provide a structure that allows for an air-tight connection between the respiratory manifold 60 through the nasal base to the nasal passages.
The coronal seal 525 is a structure extending along a perimeter of the nasal base and configured to provide an airtight connection with the nasal shield 75 by connecting with a nasal base interface 776.
The nose horn 526 is two semi-flexible structures that project upward from the upper surface of the nose base. The horns 526 are configured to extend through the nostrils into the respective nostril passages and help maintain the nasal base in position. Nasal horns prevent accidental dislodgement (e.g., breaking a seal between the nasal base and the nares) caused, for example, by extreme respiratory events such as sneezing, yawning, coughing, and the like.
In yet another embodiment, the nasal seat may be designed to seal the nose from the manifold, requiring any gas exchange through the mouth orifice. In yet another embodiment, all gas exchange may be through the nasal base and nose, but still allow speech through the mouth.
The material used to construct the nasal base is preferably a stable, non-toxic medical grade material that can maintain its molded shape but allows some flexibility, such as Acrylonitrile Butadiene Styrene (ABS), medical grade plastics, and the like.
Expansion bow
Exemplary components of expansion bow 23 according to one or more embodiments are described herein in connection with fig. 6A. Fig. 6A depicts a left front perspective view of the expansion bow in both an expanded state (shown on the left) and a compressed, loaded, or bent state (shown on the right).
In one arrangement, the expansion bow is an elongated member having a semi-rigid material. Bow 23 includes a ball end 632 provided at each end of bow 23. The bow 23, in particular the bottom ball end, is configured to be received in a complementary shaped socket provided in the socket gallery 334 of the lower lip clip. The top ball end is similarly received by a complementary shaped socket provided on the nasal base, namely socket 522. The ball and socket connection mechanism allows the nose upper lip module 20, bow 23 and lower lip clip 24 to move freely in multiple directions during use while maintaining the connection. Other joints suitable for providing relative movement may alternatively be used.
As shown, in use, the bow 23 is bent and connected at its ends to the upper and lower parts of the apparatus. Because the material of the bow has a material memory, it naturally forces the upper and lower portions of the device apart, forcing the nose base against the nose and the lower lip to clamp against the chin. It will be appreciated that the material and shape of the bow may be defined to provide the bow with the flexibility and rigidity required to bend into position to apply opposing forces sufficient to sealingly engage the nose and mouth.
The three accommodation locations 334 on the lower lip clip for the expansion bow 23 are designed to allow some customization to the size and comfort of the individual wearer. In another embodiment, an alternative mechanism may be used to modify the relationship between the expansion bow, the upper clip, and the lower clip. Such as ratchet attachments, sliding friction attachments, and the like. In another embodiment, the self-adjusting attachment may be designed to allow the wearer to automatically or semi-automatically customize the fit upon first use, for example, by having the wearer introduce the mask and bite down to set the adjustment.
Other extension devices that extend between a component of the upper portion of the device (e.g., a nose mount or upper lip clip) and the lower portion of the device (e.g., lower lip clip) may also be used.
Fig. 6B-6D illustrate the assembled accessory guard 15 including the nose base 21, the upper lip clip 22, the expansion bow 23 and the lower lip clip 24 from a perspective front side view, a perspective top left rear view, respectively.
Exemplary configurations and operations of the appendages are further illustrated in FIGS. 1D-1F. FIG. 1D is a cut-away side view of an accessory worn on the face of a user. Fig. 1F illustrates the forces exerted on the components of the device 10 and the user's body during use. In particular, fig. 1F includes a force diagram of the dynamic pivot of the assembly, showing the rotational force that allows the lower clip to dynamically transfer weight, stress, to the chin and the upper lip clip to transfer force to the nose and upper lip area. Focusing on fig. 1F, as shown, the internal anchoring portions of the upper and lower lip clips are designed to preferably rest on the base of the respective anterior buccal vestibules. The anchoring portions, which bear against the bases of the respective anterior buccal vestibules, serve as fulcrums 602 and 604, which under the influence of the expansion bow rotate the clips, thus fulfilling their functional role. The upper lip clip is specifically shaped to rotate about fulcrum 602 in direction 612, thereby creating upward pressure on the base of the nose to create a seal on the bottom of the nose. The bottom clip is rotated downward in direction 614 about fulcrum 604, redirecting the weight of the appliance, filter and expansion bow to the chin and further to the masseter. One of the less obvious elements is to avoid exerting excessive pressure on the orbicularis oris muscles 99 (i.e., "the labial muscles"), allowing them to maintain a carefully designed relationship in a relaxed state. This configuration is important to allow easy speech. Fig. 1F further illustrates how the ball-and-socket joint (between the expansion bow and each of the nasal base and lower lip clip) allows relative movement of these components, as indicated by arrows 616 and 618, thereby facilitating free movement of the mouth without interfering with the mouth and nose seals.
As can be seen when viewed from the side (fig. 6C), lip clip, means that lower lip clip 24 and upper lip clip 22 each form a C-shape. This enables stresses from the mask to be transferred to the jaw and face, rather than affecting the lip, thereby enabling speech.
Nose shield
Exemplary components of a nasal shield according to one or more embodiments are described herein in connection with fig. 7A-7C. Fig. 7A is a nose shield shown in a front perspective view. Fig. 7B is a cross-sectional cut-away side view of the nasal shield. Fig. 7C is a top perspective view of a split nose contour insert 779.
In one arrangement, the apparatus may further comprise a nasal shield 75. A nasal shield extends from the nasal base and is provided for enclosing or sealing a person's nose. As shown in fig. 7A, the shroud 75 includes a nasal base interface 776, a shroud body 777, and a shroud upper return 778. The shroud may also include a foam insert 779.
The nasal base interface 776 is a flexible material thickness extending along the point of contact with the coronal seal 525 of the nasal base 21 and is configured to form a seal between the nasal shroud 75 and the nasal base. The shroud body 777 is an outer body of the nasal shroud 75 that defines an interior region and is preferably large enough to enclose the nose of a user. It is also shaped to provide an opening at the rear to allow the nose to enter the shield.
In one embodiment, the shroud includes a shroud upper return 778 that is a top region of the shroud and is made of a material that is sufficiently flexible to fit over the nose of a user, creating a seal against the outer surface of the nose. Additionally or alternatively, as previously described, the seal may be formed within a groove of the nose mount 21.
In addition, the shroud may include a compressible nose contour insert 779, as shown separately in fig. 7C. The insert 779 may be made of an amorphous non-toxic medical grade plastic, foam or gel.
One-way valve
Exemplary components of an exhalation valve according to one or more embodiments are described herein in connection with fig. 8. Fig. 8 is an exploded view of the exemplary valve 41, shown in a front left perspective view.
In one arrangement, the valve is a unidirectional exhalation valve 41, which may include a number of components including a unidirectional valve cover 842, a unidirectional valve cover vent 843, a valve membrane 844, and a valve body 845.
The one-way exhalation valve 41 may be any number of conventional one-way valves used in respiratory devices. Generally, a one-way air valve includes an air passage, an unobstructed support frame supporting a valve membrane, which is a soft membrane sealing the passage by the action of different air pressure areas, and a cover protecting the valve membrane.
As shown, the one-way valve cover 842 is a cover for the valve membrane that allows sufficient air movement while protecting the valve membrane. The one-way valve cover vent 843 is a perforation on one side of the cover to facilitate air flow. The valve membrane 844 is a membrane that is flexible enough to form a seal directly against the channel frame. The valve body 845 is a rigid base that forms the air channel, the support surface attached to the breathing manifold, and the seals and valve membrane.
Filter
Exemplary components of filter 45 according to one or more embodiments are described herein in connection with fig. 9A-9B. FIG. 9A is a rear view of two filters 45 according to one or more embodiments and shows the lower lip clip 24. Fig. 9B is a front left perspective view of the two filters of fig. 9A.
In an exemplary arrangement of a negative pressure respiratory or surgical mask, the apparatus 10 is configured to include two filters 45 coupled to a manifold 60. Filter 45 includes filter body 946, filter support profile 951, filter ball keys 948, filter port 949, filter lid 950, filter membrane 947. The device 10 is designed to filter all incoming air through a filter unit.
The filter support profile 951 is configured to mechanically engage a complementary shaped structure of the lower lip clip 24. The upper arm 339 and base 340 of the lower base lip clip provide sufficient anchoring area to develop a variety of designs that will allow force to be transferred from the filter to the lower lip clip 24 and subsequently be carried by the masseter.
The filter ball key 948 is a spherical recess in the filter body configured to key to the lower lip base spherical protrusion 335 to secure the filter body in place.
The filter cover 950 is a cover configured to fit tightly onto the filter body 946 capturing the filter membrane 947 on the filter body and having a large enough opening to allow a comfortable air flow for breathing.
For example, but not limiting of, the filter membrane 947 may be any commercially available size rejection membrane that meets the NIOSH classification, e.g., N95, R95, O95, and the like. In another embodiment, such size exclusion membranes may be further supported by one or more additional chemical or other filters, such as activated carbon and antimicrobial filters, which provide an additional layer of safety depending on the conditions under which such masks are used.
In another configuration, manifold filter orifice 269 may be fitted through a hose or hose-like fitting, so that filtration is performed at a remote location, e.g., on a filtration unit on the chest of an individual, or through equipment on a filtration backpack or even a bedside table, etc. This configuration may also use a positive pressure device. In yet another embodiment useful for emergency applications, the filter 45 may be made to be filled with household material, such as cotton or other textiles that are easily found in the home, to enable functional use in various situations, including emergency situations, for example, in epidemic situations where other filter materials are not available.
Additional configuration and considerations:
another unique feature of the present invention is the transfer of the central focus of the support structure of the device from the band or gel to the mouth, chin and nose. This transformation enables at least three significant improvements:
1. the number of required sizes for the function authenticatable device can be reduced. Based on the collected data, (1) variations in oral cavity size/buccal cavity dimensions and (2) variations in length in the person between the upper lip and nose are less in the individual than the overall head and face morphology variations seen in the safety breathing apparatus currently in use and in need.
2. By creating an airtight seal of the manifold via the mouth, i.e., via the interaction of the device with the oral vestibule and nostrils/nose, exemplary configurations improve (minimize) the level of leakage seen; thereby increasing the effective filtration of air.
a. Leakage levels can be achieved that include the following ranges: zero leakage to almost undetectable.
b. Effective filtering including the following ranges can be achieved: 95-100% of the particles as small as 0.3 microns or less are removed by the filter media.
3. The device is designed so that it should remain operational and secure to the face in either a negative or positive pressure ventilator configuration, even in the event that the individual is fainting or otherwise unconscious.
According to one or more embodiments, the device 10 may further include one or more air monitoring sensors provided within the interior volume 14 of the device 10. These additional sensors may allow for continuous monitoring of key external or internal compounds or metabolites or pathogens and airflow in the inhaled or exhaled air to determine the required filter changes, monitor leakage, and even monitor the health of the wearer based on exhaled air.
Another configuration of the present invention may be used for positive pressure applications such as those found in CPAP masks. Removal of the headband will improve wearer comfort. The device is constructed such that it should remain on the face of the individual and function normally during sleep.
Another benefit of the apparatus is that the materials used will at least enable the manifold and accessories, including the filter base 45, to be washed, boiled or otherwise cleaned to ensure continued reusability. The filter pad 947 and the filter body 45 can be exchanged for any kind of filter for different purposes.
In yet further embodiments, a scent may be provided in the manifold to encourage continued use by the child or otherwise, e.g., for a fresh mint, a child fruit scent, etc.
In yet other embodiments, the mouthpiece and size of the device may be adapted for use with infants and toddlers. For example, the nipple 62 may include a nipple outcrop.
Another embodiment may include the insertion of a flexible access tube that may be used by the wearer to drink from contained and/or external drinking sources
Another embodiment may include features that allow the internal manifold cavity to be sealed when the mask is removed or not worn to ensure that the air within the manifold is pure. The seal may be broken when placed on the face of a user.
Another embodiment may include incorporating a face or eye splash shield onto the device.
There are various additional feature possibilities for filtration and device coatings/components that may be used according to one or more of the embodiments. A variety of existing and novel filter materials may be used. The materials used to make the breathing tube and the accessory may also include an anti-infective coating or an embedded/blended component/material that provides anti-infective properties. Examples of currently marketed products and published anti-infective technologies include: a Curad antiviral mask; silver Shield N95 face mask; the novel anti-influenza breathing mask contains copper oxide; impregnating the activated carbon cloth component with an antiviral metal; polypropylene non-woven fabric on the outer face of the face mask soaked with bronopol; an antimicrobial nonwoven fabric.
It should be understood that various combinations, substitutions and alterations of the present invention may be devised by those skilled in the art. The present invention is intended to embrace all such alternatives, modifications and variances which fall within the scope of the appended claims.
It should be understood that like numerals in the figures represent like elements through the several figures, and not all embodiments or arrangements require reference to the figures to describe and illustrate all components and/or steps.
The terminology used herein is for the purpose of describing particular embodiments only and is not intended to be limiting of the disclosure. As used herein, the singular forms "a" or "an" and "the" are intended to include the plural forms as well, unless the context clearly indicates otherwise. It will be further understood that the terms "comprises" and/or "comprising," when used in this specification, specify the presence of stated features, integers, steps, operations, elements, and/or components, but do not preclude the presence or addition of one or more other features, integers, steps, operations, elements, components, and/or groups thereof.
Also, the phraseology and terminology used herein is for the purpose of description and should not be regarded as limiting. The use of "including," "comprising," or "having," "containing," "involving," and variations thereof herein, is meant to encompass the items listed thereafter and equivalents thereof as well as additional items.
The above-described subject matter is provided by way of illustration only and should not be construed as limiting. Various modifications and changes may be made to the subject matter described herein without following the example embodiments and applications illustrated and described and without departing from the true spirit and scope of the present invention, which is covered by the present disclosure, and which is defined by the recitations in the claims below and equivalent structures, functions, or steps to those recitations.
Claims (23)
1. A respiratory device configured to be worn by a person, the mask comprising:
a manifold, the manifold comprising:
a body defining an interior chamber and defining a chamber,
a sealing nozzle extending from the body, the sealing nozzle having
An upper wall configured to be received within the upper buccal cavity of the mouth,
a lower wall configured to be received in the lower oral vestibule of the mouth, wherein the upper and lower walls are configured to sealingly engage an inner surface of the mouth, an
A central passageway between the upper and lower walls, the central passageway being generally aligned with the opening of the port, wherein the central passageway provides fluid communication between the internal chamber of the port and the internal chamber of the manifold, and
wherein the body is shaped to define one or more ports through which gas can be exchanged from the internal chamber; and
a nasal seat extending from the body and configured to rest on a person's nose, and wherein the nasal seat is shaped to define one or more hollow channels that provide fluid communication between the person's nasal passages and the internal chamber of the manifold during use.
2. The respiratory device of claim 1, further comprising:
a lower clip configured to be worn on a person's lower lip, the lower clip having a first end arranged to be placed within the lower oral vestibule and a second end arranged to rest on an outer surface of the person's chin, whereby the lower lip clip distributes a load of the device onto the chin, wherein the lower clip is sized and shaped so as to limit interference with lower lip muscles during use; and
3. the respiratory device of claim 2, further comprising:
an upper clip configured to be worn on an upper lip of a person, the upper clip having a first end arranged to be placed within the upper oral vestibule and a second end external to the mouth of the person, wherein the nasal mount is mounted to the second end, wherein the upper clip is sized and shaped to position the nasal mount against an underside of the person's nose and limit interference with upper lip muscles during use.
4. The apparatus of claim 3, further comprising: an expansion device extending between the upper and lower clips, wherein the expansion device is configured to apply opposing forces between the nasal base and lower clip, whereby the expansion device presses the nasal base against an underside of a nose and the second end of the lower clip against a chin.
5. The apparatus of claim 4, wherein the expansion device comprises: a flexible expansion beam coupled to the upper and lower clamps using respective flexible joints, wherein the expansion beams are arranged to apply opposing forces.
6. The device of claim 5, wherein the respective flexible joint is a ball joint.
7. The device of claim 5, wherein the spreading beam is arranged to apply opposing forces suitable for holding the device to a person's face without a headband.
8. The apparatus of claim 2, wherein the lower wall of the nipple is connected to the first end of the lower clip, and wherein the upper wall of the nipple is connected to the first end of the upper clip.
9. The device of claim 3, wherein the lower and upper clips are formed of a semi-rigid material.
10. The device of claim 3, wherein the lower and upper lip clips are provided proximate a midpoint of the nipple in a transverse direction.
11. The device of claim 1, wherein the central passageway extends axially through the mouth opening, and wherein a wall defining the central passageway is comprised of a flexible material adapted to allow the central passageway to be opened and contracted by a person's lips.
12. The device of claim 1, wherein the central passage has a cross-section generally in the shape of a mouth opening.
13. The apparatus of claim 1, further comprising a nasal shield mounted to the nasal base, wherein the nasal shield is configured to seal against a person's nose.
14. The system of claim 1, wherein the upper wall is sized and shaped such that a peripheral edge of the upper wall is provided within the upper oral vestibule toward an intersection of a person's upper lip and gums, and wherein the lower wall is sized and shaped such that a peripheral edge of the lower wall is provided within the lower oral vestibule toward an intersection of a person's lower lip and gums.
15. The system of claim 1, wherein the upper and lower walls of the mouthpiece are formed of a material having a thickness and flexibility suitable to provide a seal within a person's mouth while allowing movement of the lips to facilitate speaking.
16. The device of claim 2, wherein the lower clip is shaped to concentrate force on the chin and near the intersection of the person's lower lip and gums and away from the mouth opening and thereby limit interference with the lip muscles.
17. The device of claim 3, wherein the upper and lower clips are generally C-shaped.
18. The device of claim 1, wherein the upper and lower walls of the nozzle are formed as a recess defined near a midpoint.
19. The device of claim 1, wherein the body of the manifold comprises a flexible portion arranged to expand or contract at least in a vertical direction.
20. The apparatus of claim 1, further comprising: a filter attached to the first port and a one-way valve attached to the second port.
21. An apparatus for holding a respiratory device on a person's mouth, the device comprising:
a nasal base configured to rest on an underside of a person's nose,
an upper clip configured to be worn on an upper lip of a person, the upper clip comprising:
a first end arranged for placement within the upper oral vestibule, an
A second end provided outside of the mouth, wherein the nasal base is mounted to the second end, and wherein the upper clip is sized and shaped to position the nasal base against an underside of a person's nose and limit interference with a person's upper lip muscles during use,
a lower clip configured to be worn on a lower lip of a person, the lower clip comprising:
a first end arranged for placement within the lower oral vestibule,
a second end arranged to rest on an outer surface of a person's chin and concentrate forces on the chin, an
A lower mount for mounting the lower clip to at least a portion of the respiratory device, and wherein the lower clip is sized and shaped to limit interference with the lower lip muscle during use; and
a mount configured to attach the respiratory device to one or more of the upper clip, the lower clip, and the nasal base.
22. The device of claim 19, further comprising the respiratory device, wherein the respiratory device comprises a manifold.
23. The apparatus of claim 19, further comprising: an expansion device extending between the nose base and lower clip, wherein the expansion device is configured to apply opposing forces between the nose base and lower clip, whereby the expansion device presses the nose base against an underside of a nose and the second end of the lower clip against a chin.
Applications Claiming Priority (3)
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US201962805371P | 2019-02-14 | 2019-02-14 | |
US62/805,371 | 2019-02-14 | ||
PCT/US2020/018324 WO2020168217A1 (en) | 2019-02-14 | 2020-02-14 | Protective respiratory mask |
Publications (1)
Publication Number | Publication Date |
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CN113453765A true CN113453765A (en) | 2021-09-28 |
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Family Applications (1)
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CN202080014582.2A Pending CN113453765A (en) | 2019-02-14 | 2020-02-14 | Protective breathing mask |
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US (1) | US20220143432A1 (en) |
EP (1) | EP3924063A4 (en) |
CN (1) | CN113453765A (en) |
CA (1) | CA3129159A1 (en) |
MX (1) | MX2021009705A (en) |
WO (1) | WO2020168217A1 (en) |
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CN112121323B (en) * | 2020-10-17 | 2024-07-19 | 北京仰生恒泰科技有限责任公司 | Dynamic sealing respiratory protection mask |
WO2022246152A1 (en) * | 2021-05-21 | 2022-11-24 | The Cleveland Clinic Foundation | Mask to promote airtight seal |
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2020
- 2020-02-14 CN CN202080014582.2A patent/CN113453765A/en active Pending
- 2020-02-14 CA CA3129159A patent/CA3129159A1/en active Pending
- 2020-02-14 EP EP20756255.4A patent/EP3924063A4/en not_active Withdrawn
- 2020-02-14 US US17/430,389 patent/US20220143432A1/en active Pending
- 2020-02-14 MX MX2021009705A patent/MX2021009705A/en unknown
- 2020-02-14 WO PCT/US2020/018324 patent/WO2020168217A1/en unknown
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CA2529673A1 (en) * | 2005-04-06 | 2006-10-06 | Chris Afentoulopoulos | In-mouth filtration apparatus |
US8844530B2 (en) * | 2008-11-17 | 2014-09-30 | Hill-Rom Services Pte. Ltd. | Combination lung ventilation and mucus clearance apparatus and method |
CN103153378A (en) * | 2010-09-30 | 2013-06-12 | 雷斯梅德有限公司 | Mask system |
US20140275857A1 (en) * | 2011-11-07 | 2014-09-18 | Landy Toth | Metabolic and cardiopulmonary monitor |
CN106687165A (en) * | 2014-06-04 | 2017-05-17 | 革新医疗器械有限公司 | Combined nasal and mouth ventilation mask |
Also Published As
Publication number | Publication date |
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EP3924063A4 (en) | 2022-11-09 |
MX2021009705A (en) | 2021-09-14 |
CA3129159A1 (en) | 2020-08-20 |
US20220143432A1 (en) | 2022-05-12 |
WO2020168217A1 (en) | 2020-08-20 |
EP3924063A1 (en) | 2021-12-22 |
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